ECMO support for the treatment of cardiogenic shock due to left ventricular free wall rupture | Zendy

Francesco Formica | Zendy

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ECMO support for the treatment of cardiogenic shock due to left ventricular free wall rupture

Author(s) -

Francesco Formica

Publication year - 2005

Publication title -

interactive cardiovascular and thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.546

H-Index - 56

eISSN - 1569-9293

pISSN - 1569-9285

DOI - 10.1510/icvts.2004.096883

Subject(s) - cardiogenic shock , medicine , extracorporeal membrane oxygenation , pericardiocentesis , cardiac tamponade , tamponade , myocardial infarction , cardiology , shock (circulatory) , myocardial infarction complications , complication , impella , surgery

Left ventricular free wall rupture (LVFWR) is still an uncommon catastrophic complication after acute myocardial infarction (MI), and it is one of the most frequent causes of sudden cardiac death. Immediate surgical repair is the treatment of choice. When LVFWR presents acutely with tamponade and cardiogenic shock in emergency department, salvage with a good outcome is still possible by timely pericardiocentesis and extracorporeal membrane oxygenation (ECMO) support. We report a case of cardiac rupture with tamponade and cardiogenic shock in which cardiopulmonary support with portable ECMO was used to rescue the patient before the operation.

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